Can I Have an HSA If I Have Medicare Part A?

If you have Medicare Part A, you can still have an Health Savings Account (HSA) under certain circumstances. It's important to understand the rules surrounding HSAs and Medicare to make informed decisions about your healthcare and financial planning.

Medicare Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. If you have Medicare Part A and meet the eligibility criteria for an HSA, you can contribute to and use funds from an HSA simultaneously.

Here are some key points to consider:

  • You can have an HSA if you have Medicare Part A, but eligibility for contributing to an HSA depends on whether you are enrolled in a high-deductible health plan (HDHP).
  • If you are enrolled in an HDHP and have Medicare Part A, you can contribute to an HSA. However, once you enroll in Medicare, you can no longer contribute to the HSA.
  • If you are receiving Social Security benefits while enrolled in Medicare, your enrollment is automatic and you may need to stop contributing to your HSA.
  • If you delay enrollment in Medicare and continue to work past age 65, you can still contribute to your HSA if you have an HDHP.

Understanding the interaction between Medicare and HSAs is crucial to maximize the benefits of both programs. Consult with a financial advisor or healthcare provider to determine the best course of action based on your individual circumstances.


Having Medicare Part A doesn't automatically disqualify you from maintaining a Health Savings Account (HSA). However, it plays a crucial role in determining your ability to contribute further to this account.

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